Individual
LOGAN ANDREW NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 656-7115
Mailing address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 656-7115
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60534
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2013
Last updated
05/25/2016
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